Individual
KYLE ROSEBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1129 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 482-2212
Mailing address
1129 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 482-2212
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10-351
AZ
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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